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目的：探讨脑室镜和腹腔镜辅助脑室腹腔分流术治疗老年脑积水的疗效。方法：选择我院90 例老年脑积水患者，按随机数字表法平均分为A、B、C 3组各30 例，A 组患者给予传统脑室腹腔分流术治疗，B 组患者给予腹腔镜辅助下脑室腹腔分流术治疗，C 组患者给予脑室镜和腹腔镜综合辅助下脑室腹腔分流术治疗，比较3 组患者治疗有效率及术后并发症发生率。结果：C 组患者治疗有效率为90.0%，明显高于A 组63.3%及B组76.7%，比较差异具有统计学意义（均P<0.05）；C 组患者术后感染及分流管堵塞并发症发生率明显低于A 组和B 组，比较差异均有统计学意义（均P<0.05）；B 组和C 组脑实质内出血发生率均低于A组，与A组比较差异具有统计学意义（P＜0.05）。结论：脑室镜和腹腔镜综合辅助下脑室腹腔分流术治疗老年脑积水的疗效显著，术后并发症少，值得推广。

英文摘要:

Objective:To investigate the efficacy of ventricle mirror and laparoscopic auxiliary ventricular peritoneal shunt in treatment of elderly hydrocephalus.Methods:90 cases of elderly hydrocephalus were selected fromour hospital,they were divided into A, B, C three groups according to a random number table, with 30 cases in each group, the patients of the group A were given traditional ventricular peritoneal shunt, the patients of the group B were given ventricle peritoneal shunt assisted laparoscopic, the patients of the group C were given ventricle ventricular peritoneal shunt integrated mirror and laparoscopic-assisted treatment, efficiency and postoperative of three groups were compared.Results:The efficiency of the group C was 90.0%, significantly higher than the 63.3% in group A and 76.7%in group B, the difference was statistically significant (all P<0.05); Postoperative infection and complication rates shunt tube blockage of the group C was significantly less than those of groupA (all P<0.05); Parenchymal hemorrhage of group B and the group C were significantly less than group A, the difference was statistically significant compared with groupA (all P<0.05).Conclusion:laparoscopic- assisted Ventricle ventricular peritoneal shunt integrated mirror had significant effect and low postoperative complications in treatment of elderly hydrocephalus. It is worth of popularization.

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